>> do we have any more speakers in the queue?

>> the only speaker left? the last speaker is an unattended line. >> mr. chair. >> thank you. public comment is closed. thank you to everyone who called in. many called in last week as well. i appreciate hearing from you and your support. if there is support for the amendments and the broader changes here around the botanical gardens and japanese tea garden and conservatory of flowers. we had a motion from supervisor

mar. do you want to make that motion? >> thank you, chair haney. i want to thank everyone that called in. the strong advocates for our treasured park, gardens and golden gate park amenities and to the veteran advocates on who we have been working with on expanding access to these incredible resources. yes, i am very supportive of all of the work that the department has done along with the botanical garden society to create the more unified management in operating the framework for all three gardens. it is important for san francisco residents. through the amendments expand the waiver to veterans current nonresidents of san francisco. they deserve that as well.

thanks again. i would move that we adopt the amendment that i have introduced to item 5. >> roll call on the amendment please. >> clerk: on the motion. >> vice chair safai. >> aye. >> member mar. >> aye. >> chair haney. >> aye. >> we have three ayes. >> thank you. because these are substantive amendments we need to continue for one week. i will make a motion to continue 6, 7, 8, 9 to next week as amended. >> we are on 4 and 5.

>> i read from the other part of the script. i want to make a motion to continue items 4 and 5 to next weeks meeting as amended. >> on the motion to continue items 4 and item 5 as amended to february 9th meeting. vice chair safai. >> aye. >> member mar. >> aye. >> chair haney. >> aye. >> we have three ayes. >> great. we will see everybody next week. thank you. now, mr. clerk please call items 6, 7, 8, 9 pogge. >> 6 through 9 are resolutions authorizing the transportation agency to approve the following amendments to certain agreements and contracts.

6 agreement with imco parking for the management of the fifth admission garage. ex attending by one year from april 30, 2022 for a total term of 11 years from march 1, 2012 through february 28, 2023 and increase to $77,000 for $740,000. 7. approve the fifth amendment to contract number s.f.m.t.a. 2011-12-9 with imperial parking llc to extend from january 31 for a total term of 11 years from february 1, 2012 through january 31, 2023 increase be by 184,000 for a total contract of $1.5 million for the management of group amend garages

comprising the civic center garage, sutter stockton, lombard street garage, performing arts, pierce street garages, mission bartlett garage and 16th and hoff streets garage and the seventh and harrison parking lot. 8. contract s.f.m.t.a. 2011-12-10 to extend one year from january 31, 2022 for a total term of 11 years from january 1, through january 31, 2023 increasing by 137,000 for a total amount $1.2 million for the management of the group b garages comprising st. mary's square, portsmouth square, golden gateway garages and kazar stadium. 9. fifth amendment to

2011-12-eleven laz parking california llc to extend by one year from january 31, 2022 for a total term of 11 years from february 1, 2012 through januare contract amount 1 $72,000 for a total contract amount of approximately $1.6 million for the management of group c garages comprising the union scare garage, moscone square, ellis o'farrell street, polk bush, north beach, valetio street, zuckerberg san francisco general hospital garages. call 415-655-0001 to comment. id24833326847-pound twice if you haven't done so dial star 3 to speak. the system prompt will indicate you have raised your hand.

please wait until the system indicates you are unmuted to comment. mr. chair. >> chair haney: that was quite an introduction. mr. malone from m.t.a. will present on these items. >> good afternoon. i have some very brief presentations to get some context on garage management. no items related to garage management have been before the board in a long time. i share my screen to the presentation.

>> just to get brief contents about the context. i am rob malone, senior manager and off-street parking units in the streets division. we oversee all city-owned parking garage in the city overseeing the contracts brought before you today. some context to our overall management of garages in the past decade in a little more. in 2008 there was a resulting report that was called for to look into how the city managed garages and that report recommended sweeping changes in how the city organized itself, staff to oversee garages, to

improve the way facilities are managed. in response to that report, there was new leadership brought in. between 2008 and 2012, m.t.a. put in significant efforts to increase in house staffing of people with technical expertise in garage operations and management. also, updated the way it structured and administered the contract to streamline that process and make it more efficient for the agency. subsequent to that, we committed in 2016 to very significant project to modernize and automate all city garages. $35 million project. combination of utility infrastructure, hardware and software was done. one facility at a time over the course of a few years.

final facility was completed about 8 months ago. now all 20 city garages are fully up into 21st century in terms of technology, customer service, payment security, etc. in addition to in a similar timeline as mentioned in the staff report, primary reason for the request for these one year extensions of existing agreements. significantly due to pandemic conditions were not great. in reviewing all relevant stakeholders who determined we needed more time to conduct thorough proposal process for the next set of long-term agreements. that r.f.p. was published last

week by the agency. we anticipate that process will take six months, give or take. eventually will result in contracts. once they are negotiated, approved by m.t.a. board and come to the board of supervisors for approval later this year, late summer or perhaps early fall. then to speak to the item just before you today. to allow the time for that process to proceed are m.t.a. board approved last fall now coming forward to the board of supervisors to request approval for a one year extension of the four existing contracts to fill that gap until the next set of contracts can be negotiated and brought forward for approval. thank you.

>> chair haney: thank you. can we go to the bla, please. >> thank you. budget legislative analysts office. revised resolutions the department is submitting today. they retroactively approve garage contracts between the m.t.a. and three garage operators to the imperial parking and one with the laz parking california llc. these were competitively procured in 2010 and 2011. scheduled to expire this month. they will allow additional time for the new procurement process

which was disrupted by the pandemic but now underway. under the agreement m.t.a. pays set fees for parking and pays the operator a management fee based on the number of parking spaces and operating expenses associated with the garages. net revenues go to m.t.a. as a general source as we show on page 27 of our report. total net revenues are $439.8 million. the original resolutions today only accounted for management fees on each contract. following discussions with our office the m.t.a. agreed to submit revised resolutions to act for the total costs of contracts based on spending data provided by m.t.a. each contract spending exceeded $10 million threshold required for board of supervisors

approval between fiscal year 13-14 and 14-15. we recommend approval. we recommend the board request director of transportation to review all m.t.a. contracts to identify contracts that require retroactive board approval and provide written review and report of that review within 60 days of approval of the resolutions and include in the legislative file. i am happy to answer any questions. >> chair haney: public comment, please. >> clerk: members of public press star 3 to speak. on hold please continue to wait until the system indicates you are unmuted and it is your queue. do we have callers?

>> caller: david pill plow. good afternoon. i am sorry i missed the introduction and discussion on these items. i support the proposed resolutions but i hope in the future m.t.a. is considering bringing management of these parking garages in house. i think this is a function that has long been provided by a contract with entities. it would be better for the public if this were managed and operated in house by city employees. i would hope you would ask about that and m.t.a. consider that. thanks for listening.

>> clerk: any further speakers? no further callers in the queue. >> chair haney: public comment is closed. i know that there was a recommendation for an amendment from the bla. is there a response from s.f.m.t.a.? >> we support the recommendation and have already submitted amended language consistent with the recommendation. >> i want to clarify. in discussions during the reporting process we recommended m.t.a. bring revised resolutions

to act for total spending on the contract which totals close to $230 million. that is what the revised resolution they are submitting today addressed. i have in speaking earlier i have additional recommendation which i have discussed with the department which is for the board to request the department review all of their contracts to make sure there is no other ones that require board approval. that is a request that members could make orally. it doesn't require an amendment. >> the committee requests the directory view all s.f.m.t.a. contracts and identify those that require retroactive approval and provide report

within 60 days of the resolution in this legislative file. you are saying that doesn't -- that is not something to amend into the contract today or that we need to amend it all today? i am confused what is happening here. >> it is a recommendation to ask m.t.a. to do just that. you could memorialize it by amending the resolution to include the language. given that there were four, i thought it would be easier to just request that to the staff and committee. does that make sense? >> chair haney: yes. mr. gibner. >> in situations like this where the budget and legislative analyst is recommending a larger

review that goes beyond this particular contract, the best approach is generally for the committee to ask for a report back from the bla, but not necessarily amend the resolution. the resolution focuses on these particular set of contracts. an oral request during this committee meeting should do the trick without any amendments. >> chair haney: we are making that oral request. we will not amend the resolutions accordingly for the contracts. questions or comments from colleagues? >> clerk: to clarify, i will note the committee's request according to the bla report, but

we did receive the updated resolutions that i distributed on monday morning from m.t.a. making the necessary changes for both our retroactive approval and updated amounts to be approved by the whole board. so we do have amendments on the resolutions, just not based on the bla's recommendation. >> chair haney: what do you think? >> yes, we need to accept the amendments as offered by the m.t.a. with the updated file. >> chair haney: i will make a motion to accept the amendments with updated motion that s.f.m.t.a. has put forward. >> clerk: on the motion to accept the amendments to the

respective resolations. vice chair safai. >> yes. >> member mar. >> aye. i did have a question to chair haney. >> chair haney. >> aye. >> vice chair safai. >> absent. we have two ayes with vice chair safai absent. >> great. amendments accepted. before we move as amended, supervisor mar. >> i just had a question. maybe mortar the bla. what the defense between these amendments that we just accepted that were presented by the department, what the difference between those are and what i think i heard you saying a different type of amendments

that should have been the combined amount of the contracts. >> so the contracts have two cost components. one is a management fee. that is based on the number of spaces in each garage. that amount is what is listed in the original resolutions to the committee today. each of the contracts require m.t.a. pay all of the operating expenses associated with the garage. which amount to a much larger amount. 4 to $5 million per year and they have been in place since 2010 or 2011. the total spending on all four contracts is $230 million. for that is why the resolution amounts are different. it accounts for the historical

spending on operating expenses and projected spending on operating expenses not just management fee. my recommendation doing the further staff review is really because these were not at the board until today, they really should have gone to the board as soon as the contract spending exceeded $2 million which occurred in 2014. i think our concern is that there is a larger systematic issue at m.t.a. with regard to controlling for the approval and our recommendation is to comb through the contracts and confirm to the board of supervisors any contracts that do require board approval have appended.

>> it sounds like m.t.a. is committed to doing that and reporting back in 60 days. that is great. nick, anything that you are recommending regards the first issue around the entire operating cost of these garages? is that a further amendment that you are recommending that we make? >> no the resolutions account for those costs properly. >> thank you. i want to make a motion to continue items 6, 7, 8, 9 to next weeks meeting as amended.

>> clerk: on that motion to continue items 6-9 to february 9th as amended. vice chair safai. member mar. >> aye. >> chair haney. >> aye. >> vice chair safai is absent. we have two ayes. >> we will see you all next week. thank you. please call item 10. >> a resolution authorizing the mayor's office of housing and community development on behalf of the city and county of san francisco to execute the standard agreement with the california department of housing and community development under did local housing trust fund program for a total award of $5 million for the period starting on the execution date of the standard agreements to

june 30, 2035. members who wish to comment should call 415-655-0001. id24833326847 press pound twice. dial star 3 to speak. wait until the system indicates you are unmuted to comment. mr. chair. >> all right. we have ms. ellie from the mayor's office of housing and community development to present on this item. >> good afternoon, supervisors. deputy director for housing. we don't have a presentation some quick comments. this is related to the city's acceptance of funds from the state department of housing and community development. resolution would allow us to enter a standard agreement for

the funds. also waive inclusion of indirect costs and one-to-one lomfunding match -- one-to-one local funding match. it will require us to use 100% affordable housing construction and 30% of the units have to be permanent supportive housing for people at 30% of the area median income or less. we will be reimbursed by the state for our expenditure by 2030. we propose and expect to use the funds for 221 unit project that mercy housing is developing at 600 seventh industries in district sixth. [please stand by]

by 700, with financing sources for that project are still under review by the affordable

housing loan committee. at any city loans greater than $10 million will require board approval. we recommendapproval of this resolution . >> thank you mister menard. >> checking to see if there are any callers in the queue. members of the public who wish to provide comment it á3. wait until the system indicates you have been unmuted and that isyour cue to begin your comments . do we have any callers? >> mister clerk there are no callers in the queue. >> public comment is closed. thank you so much, this is great. i want to make a motion to move

item 10 to the full board with a positiverecommendation. roll call vote please . >> on the motion to forward to the full board with a positive recommendation, the vice chair safai. [roll call vote] we have 2 aye's, with vice chair safai absent. >> chair: thiswill go to the full board with a positive recommendation, thank you so much .all right, can you please call items 11 and 12 together. >> yes chair haney. item 11 authorizes the director of the mayor's office of housing to execute an amended and restated loan agreement with sunnydale infrastructure

phase 1a 3 llc, for a total loan amount not to exceed 25 million to finance the second phase of infrastructure improvements and housing development related to the revitalization and master development of up to 1770 units of replacement public housing, affordable housing and market rate housing, commonly known as the sunnydale hope sf development and adopting findings that the loan agreement is consistent with the adopted mitigation monitoring and reporting program under the california environmental policy act, general plan and priority policies of the planning code. item 12 authorizes the parks department to accept and expend cash and/or in-kind grants valued at 10 million from sunnydale infrastructure llc to design and construct the hers

playground recreation center for a term tocommence upon approval by the board of supervisors . members of the public who wish to provide public comment should call 415-655-0001. meeting id24832226487 andpress pound twice. if you haven't done so pressá3 to sign up to speak. please wait until the system indicates you have been unmuted and you may begin your comments . mister chair . >> chair: and we have mister lieu . >> my name is jason lieu, hope sf team from the mayor's office and mohcd. excited to come before you with this new phase of revitalization and talk about the infrastructure gap loan and expended expenditure for the herz recreation center.

hope sf was created under the merrick avenue administration response administering federal funding forsan francisco's largest public housing sites , hunters view, potrero and sunnydale. hope sf presents commitments for by the city to achieve reparations for past and ongoing trauma systemic racism and deep and persistent povert . one of the goalsof hope sf is to build racial and i connect economically inclusive neighborhoods . hope sf and mohcd do this by preventing displacement of families through anti-eviction policies and wraparound services so residents remain in their neighborhoods through this transformation and using creative activities to honor the history of those communities.

this investment in these communities have resulted in obsolete infrastructures so in order to restore public benefits we have come before you today to present this infrastructure loan at accept a request for the new rec center. at this point i would welcome mike colleague the project manager. >> good afternoon chair haney, supervisors safai and mar. i'm with the office of housing and community development and am project manager of of hope sf here to present hope sf sunnydale on behalf of their mr who was on leave. sunnydale hope sf is the largest hope sf site adjacent to mclaren park, ingalls golf course to the north and bounded by crocker, amazon park to the west, upon the street to the

south. next slide.so we are 775 existing units of public housing atsunnydale have the time the master developer agreement was executed . next slide. sunnydale hope sf will be completed in nine infrastructurephases . the phases have been highlighted on yourscreen . next slide. today's sunnydale developers have completed parcel q which is located outside the boundary of sunnydale hope sf but is not included as part of the sunnydale hope sfsince residents have moved into the completed project .total of 55 units of which 41 or 75 percent of the units are for sunnydale residents in units with project-based section 8 vouchers and 14 units are tax credit affordable with no operating subsidies.

next slide. the sunnydale developers have completedinfrastructure phase 1 a1 and phase 182 and the infrastructure includes block six , 290 because he had affordable housing located inside the boundaries of sunnydale hope sf .it totals on hundred 67 units of which 125 or for sunnydale public housing residents and are supported by project-based section 8 vouchers.the remaining units are also affordable without a rental operatingsubsidy . locbegan at least in the 2021 . the market rate development within the phase 1 a1 and 182 which is a small blue highlight below the arrow has not been completed or started. it's been delayed due to the pandemic. next slide. so for this request mohcd is requesting the infrastructure

loan for 25 million to finance the second phase of infrastructure improvements. infrastructure improvements include masks, upgrading of the areas for future affordable housing and community center. realigning and grinding sunnydale avenue to include a bike and creating a new street along the installation along with installation of newpublic utilities including streetlights . next slide. if the 25 million infrastructure loan is approved the loan will allow the infrastructure previously described and will allow completion of three graded locks. two for affordable housing on blocks three a and 3b. there will be a unity center of about 25 to 28,000 in blocks three a and 3b combined and unlocked one, a full community center . the two affordable buildings

are planned on block three a and 3b and three a and 3b will contain 170 affordable units with 75 percent set aside for sunnydale residents and within that i spoke incorrectly. there is a 3000 square foot commercial space within the affordable block blocks 3a, 3b are anticipated to begin construction in october 2022 assuming our leveraged financing is secured please note there is no market rate housing lots planned in the sunnydale phase one infrastructure.in summary, sunnydale hope sf is very active with 222 completed affordable housing units . the infrastructure loan request before you today were an evil to start construction on another 170 affordable units and other committee amenities.

next slide. so just outside of sunnydale phase 182 gratian parks will construct recreation centers that will be adjacent to sunnydale block one community center which is in infrastructurephase 183 . mercy related sunnydale hope sf development team has been working with the recreation and parks team to construct a recreation campus that will benefit the sunnydale residents as well as the greater visitation valley residents while the first recreation center will be owned by the city, recreation and parks plans to work with mercy related sunnydale hope sf team to develop synergies between the sunnydale block one can unity center and herz recreational center. recreation and parks have requested this loan infrastructure and recreation and parks accept and extend requests are presented and hopefully approved together due to timing. if the affordable housing plan

in blocks three and 3b as planned. as planned in fall 2022, it is conceivable that the occupancy lease three a and 3b affordable housing will occur in 2024 when the herz recreation center is complete. i will now pass this presentation to nathan sinclair, my colleague with recreation and parks will discuss the reiteration center and accompanied expense . >> good afternoon supervisors. i am agent sinclair with recreation and parks department worship team and i'm here to request your approval to accept from sunnydale infrastructure llc cash and or in-kind grants valued at up to $10 million for the design and construction of the playgroundrecreation cente and through the associated grant agreement . next slide please .

cindy touched on sunnydale infrastructure is a partnership between mercy housing california and related california which is implement a multi-base program called the hope sf honey neighborhood plan. the plan includes development of a neighborhood on that will be the center of neighborhood activity and amenities including a 25,000 community center on the sunnydale campus housing in early childhood center, meeting rooms and other community spaces. as part of the development sunnydale infrastructure is also partnering with recreation parks department to support construction of a new recreation center right next door at adjacent herz playground. next slide please. the sunnydale visitation valley communities have long needed opportunities for safe indoor recreation and since 2018 partners have worked with

sunnydale residents and others in the community on a robust outreach process to develop the proposed concept for a new recreation center including eightmeetings and workshops as highlighted on the slide. next slide . the proposed recreation center will be approximately 12,000 square feet and will include a professional size basketball court with seating for 200, multipurpose room and kitchen. the project will construct a new fitness area and nature play area adjacent to the rec center along the pathway improvements to better connect the rec center to the new home communitycenter and rest of sunnydale . next slide please. currently the project is funded with $10 million city funding from the 20/20 health and recovery bond along with the $600,000 general fund allocation and then a $10 millionprivate fund-raising commitment . which is being led bysunnydale infrastructure in collaboration

with the boys and girls club's of san francisco . and we're also seeking some additional funding to complete the project includingapplying for astate regional parks grant and federal funding from the annual appropriations process . next slide please . and were also asking that you approve the associated grant agreements with this project and just to call out a couple of highlights as i mentioned both city and sunnydale infrastructure commit $10 million in funding for the project and recognize that additional funding could be needed to deliver the project and we commit to working together to identify sources of funding or project delivery methods to resolve this gap. a few of the additional sources we are pursuing or on the previous slide. sunnydale infrastructure would provide an in-kind grants of designs for the project and also provide support for construction of the project

using any grantfunding not expended on design and this support may come in the form of cash to record park to manage overall construction projects which we think is most likely one in-kind grants as some of the construction work such as siteprep work . and lastly as cindy touched on we agreed to work with sunnydale infrastructure and its affiliates to develop a future agreement for use of the rec center or programming design to the visitation valley communities. next slide please . to close, we arecurrently in the design phase of the project and anticipate beginning later this year with the center opening in 2024 and we'll you will support approval of this grant and i would be happy to take any questions. iq . >> very exciting, that was beautiful. thankyou for your hard work on this and it's definitely a community that will benefit usually from this rec center. is there a bla report on this

item ? >> we reported on both, chair. item 11 filed 211266 is a resolution approving a restated agreement between the mayor's office of housing and sunnydale infrastructure phase 1 a and 3a llc for $25 million to fund horizontalinfrastructure . we show the sources and uses of the loan package on page 37 of our report. the infrastructure improvements are expected to be completed and conveyed to the city by december 2023. because this loan agreement structure was, is consistent with the developmentagreement approved by the board for this development , we recommend approval of our resolution. item 12 521-1269 is a resolution authorizing rec and park department to accept and expend up to $10 million from sunnydale infrastructure to

construct the playground and improve and associated grant permitting agreement. as shown on page 44 of our agreement for $10 million in grant funds are being matched by $10 million in obligation bond in addition to $600,000 of the general funds provided by rec and park department which together total $20.6 million of committed sources. however as we show on thatsame page 44 thetotal cost of the project is budgeted at $24.2 million . leaving a $3.6 million funding triple to complete the project . the department is still seeking data and federal funding to close the shortfall and the grant agreement doesn't obligate either party to close thatfunding shortfall. we recommend approval of this resolution as well and i'm happy to answer any questions . >> appreciate it.

can we go to public comments please >> yes mister chair, checking to see if there are any callers in the queue . members who wish to provide comments these press star 3. for those already on hold please continue to wait until you are prompted. until you have been unmuted and that's your cute comments.>> my name is lieutenant and i'm from the sunnydale community and i hope that you guyssupport this . this is something that needed even in the announcement, sunnydale is one of the most neglected communities and the are mentioned in the index and we're trying to make sure we get everything we need to serve the community and make sure that the kids in ourcommunity are taking care of thesame way they are across the city .

this is something that's really needed in the community . thank you. >> thank you drewjenkins for your comments. next speaker . >> caller: my name is fran martin and not affiliated with the greenway goal program and we are now constructing the mclaren park plants garden outdoor education center located across the from the current hertz street recreation center. i was also involved with the visitation valley planning alliance and has supported new housing ofsunnydale since 1999 . consequently i am absolutely in full support of accepting the funding you areconsidering today this infrastructure is long overdue in a matter of social justice . thank you . >> thank you for your comments. misteratkins, next speaker . >> caller: my name is larry

jones and i'm from saint hill and i want to give a shout out to all the supervisors listening. another shout out to recreatio and park board andeverybody else who played an integral part in getting us where we are. i want to report on the stabilization of the community . the morale is high . everybody's happy to see progress. attitudes are improving because they now see people's words are being put forward. there were neglected for decades and now hope sf in collaboration with the city is finally showing the votes so that these children knowing that what they see in the future is promising. the violence is down because partners on are now working on this project to rebuild the community withhappier homes and happier vibes . i encourage you to accept this and let's keep this momentum going because this is the best thing that's happened in the

sector since i've been around and i've been here for over 45 years and i would put all my support behind this project . special shout out to my guy, thank you. >> mister atkins, do we have any morespeakers in line ? >> there are no further colors in the queue. >> chair: thank you so much, public comment is closed. i want to thank everybody who called it and the leaders from sunnydale for your commitment and i'm happy to hear there's hope and excitement about this project and i agree this is one of the most neglected parts of our city and for us to be able to make these investmentsand to have a hopeful future for the residents . that is much overdue and much welcomed so thank you everyone for your work on this. before we vote on these i

wanted to make a motion to excuse vice chair safai for the remainder of themeeting . if i can have a roll call vote. >> a motion to excusevice chair safai for the remainder of the meeting . [roll call vote] we have 2 aye's with commissioner safai excuse. >> chair: great.and if we could, if i could make a motion with items 11 and 12 to the full board with a positive recommendation. >> on the motion to forward both items to the board with a full recommendation member mar. chair haney. we have 2 aye's with vice chair safai excuse.

>> chair: thank you so much fo your work. i appreciate it . all right, our last item mister clerk, can you please call item 13? >> mister chair, did i miss that vote on sunnydale? >> i also excused you for the remainder of the meeting. >> i'm back. ifyou don't mind we can rescind the vote on the sunnydale item. i do want to vote on it please . >> i first have to rescind the boat? >> yes chair and you do. >> chair: can i make a motion to rescind the vote on excusing supervisor safai for the meeting? >> on the motion to rescind,

the motion to excuse. feist chair safai. >> clerk: we have 3 aye's. >> now if we canrescind the vote , on items 11 and 12.>> on the motion torescind the vote on items 11 and 12 , [roll call vote] we have 3 aye's. >> that i say a word or two, i'm sorry this isparticularly important to me i want to see a couple of words . for this item . so my career in the city began working in sunnydale.

there's a long history as you heard today of many broken promises to this community. also was very instrumental in helping lay the groundwork for san francisco's hope sf so i'm very proud of the work that i've done there and very proud of the people that have continued this work, many of you and you heardtoday talk about their commitment tothis community . this is long overdue . many of you have visitedthese public housing units . some of them i don't have showers. they were billed as temporary worker housing when people were returning from world war ii to come back to the city. and be reintegrated back into san francisco. not necessarily ever intending to live as long and last as long as they have. though there has been commitments to this community over theyears but most of them broken . i'm happy to, i want to be

added as a cosponsor to these two items and very happy to see this move forward. i want to pointout proposition a , the vote is helping to fund this infrastructure improvemen . we don't have those kind of dollars available in the city so the voters of san francisco are very wise and were very lucky in the city to have these dollars to dothis kind of work .otherwise it would add additional significant delays and years to this project. just wanted to say very exciting to support this as well as the commitment to building recreation and support services for this community and very proud to be a cosponsor of this and all the greatwork the community has done over this time . thank you mister chair. >> chair: thank you for your support and leadership and one of the commenters did give you a shout out.

>> i heard that. >> chair: very good. i will make a motion to send items 11 and 12 tothe full board with a positive recommendation . >> on the motion to forward both items to the full board with a positive recommendation, vice chair safai. >> clerk: [roll call vote] we have 3 aye's >> chair: thank you so much, i appreciate it . mister clerk, can you please callitem 13 . >> item 13 is an ordinance amending the public works to permit office of the treasurer and tax collector tocollect the mobile food facility renewal fees on the unified license

bill to annually on march 31 . members of the public who wish to provide comment should call 415-655-0001, meeting id 2483 332 6847. then press pound twice. if youhaven't already done so press star 3. a system prompt will indicate you have raised yourhand. wait until the system indicates you have been unmuted and you may begin your comments . >> chair: thank you so so much for your patience, welcome . >> good afternoonchair haney and members of the committee . amanda freed with the tax collector. today i'm presenting an ordinance that would bring the department of public works foo facility permit fees on to our unified license bill . as you may recall our office collects annual license fees o behalf of many city apartments . aftera permit is approved by the agency the business owner receives the bill from our office do every year by march

31 . this bill like a seamless experience for small businesses by reducing the number and frequency of bills received from the city and providing a single point of contact for renting a multitude of annual fees. this legislation would shift collection for mobile food facility permit from the tw to the license bill. the change would impact about 100 small businesses and all these businesses already receive this bill for other charges. i know my colleagues from dpw are present toanswer any questions you have about this fee. otherwise thank you for your consideration . >> great. mister menard, is there a bla report on thisitem ? >> we did not report so chair haney. >> chair: supervisor mar. >> i wanted to thank miss three and the tax collectors office and may your breed's office or working on this minor

streamlining of the fee collection for mobile food facilities but i think this is great. i've heard complaints about the payment that mobile facilities have had to make particularly for food trucks outthe outer sunset farmers market . this is very much appreciated and i would love tobe added as a cosponsor for this as well . >> chair: i agreewith all of that . and for you to beadded as a cosponsor as well .let us move to public comment please. >> operations ischecking to see if there are any callers in the queue . members of the public to provide commentpress star 3 to be added to the line to speak .

for those on hold wait until the system indicates you have been unmuted. mister atkins,do we have any speakers ? >> are no callers in the queue. >> public commentis now closed . i think we are ready to move this item, item 13 tothe full board with a positive recommendation . can we have arollcall. >> on the motion to the forward to the full board , vice chair. >> please add me as a cosponsor. >> noted mister vice chair. member mark. we have 3 aye's. >> we will go tothe full board, thank you so much for your leadership . we appreciate it. with that, mister clerk do we

have any items. >> that concludes our business mister chair. >> this meeting isadjourned, thank you all .

my name is doctor ellen moffett, i am an assistant medical examiner for the city and county of san francisco. i perform autopsy, review medical records and write reports. also integrate other sorts of

testing data to determine cause and manner of death. i have been here at this facility since i moved here in november, and previous to that at the old facility. i was worried when we moved here that because this building is so much larger that i wouldn't see people every day. i would miss my personal interactions with the other employees, but that hasn't been the case. this building is very nice. we have lovely autopsy tables and i do get to go upstairs and down stairs several times a day to see everyone else i work with. we have a bond like any other group of employees that work for a specific agency in san francisco. we work closely on each case to determine the best cause of death, and we also interact with family members of the diseased. that brings us closer together

also. >> i am an investigator two at the office of the chief until examiner in san francisco. as an investigator here i investigate all manners of death that come through our jurisdiction. i go to the field interview police officers, detectives, family members, physicians, anyone who might be involved with the death. additionally i take any property with the deceased individual and take care and custody of that. i maintain the chain and custody for court purposes if that becomes an issue later and notify next of kin and make any additional follow up phone callsness with that particular death. i am dealing with people at the worst possible time in their lives delivering the worst news they could get. i work with the family to help them through the grieving process. >> i am ricky moore, a clerk at

the san francisco medical examiner's office. i assist the pathology and toxicology and investigative team around work close with the families, loved ones and funeral establishment. >> i started at the old facility. the building was old, vintage. we had issues with plumbing and things like that. i had a tiny desk. i feet very happy to be here in the new digs where i actually have room to do my work. >> i am sue pairing, the toxicologist supervisor. we test for alcohol, drugs and poisons and biological substances. i oversee all of the lab operations. the forensic operation here we perform the toxicology testing for the human performance and the case in the city of san

francisco. we collect evidence at the scene. a woman was killed after a robbery homicide, and the dna collected from the zip ties she was bound with ended up being a cold hit to the suspect. that was the only investigative link collecting the scene to the suspect. it is nice to get the feedback. we do a lot of work and you don't hear the result. once in a while you heard it had an impact on somebody. you can bring justice to what happened. we are able to take what we due to the next level. many of our counterparts in other states, cities or countries don't have the resources and don't have the beautiful building and the equipmentness to really advance what we are doing. >> sometimes we go to court. whoever is on call may be called

out of the office to go to various portions of the city to investigate suspicious deaths. we do whatever we can to get our job done. >> when we think that a case has a natural cause of death and it turns out to be another natural cause of death. unexpected findings are fun. >> i have a prior background in law enforcement. i was a police officer for 8 years. i handled homicides and suicides. i had been around death investigation type scenes. as a police officer we only handled minimal components then it was turned over to the coroner or the detective division. i am intrigued with those types of calls. i wondered why someone died. i have an extremely supportive family.

older children say, mom, how was your day. i can give minor details and i have an amazing spouse always willing to listen to any and all details of my day. without that it would be really hard to deal with the negative components of this job. >> being i am a native of san francisco and grew up in the community. i come across that a lot where i may know a loved one coming from the back way or a loved one seeking answers for their deceased. there are a lot of cases where i may feel affected by it. if from is a child involved or things like that. i try to not bring it home and not let it affect me. when i tell people i work at the medical examiners office. what do you do? the autopsy? i deal with the enough and --

with the administrative and the families. >> most of the time work here is very enjoyable. >> after i started working with dead people, i had just gotten married and one night i woke up in a cold sweat. i thought there was somebody dead? my bed. i rolled over and poked the body. sure enough, it was my husband who grumbled and went back to sleep. this job does have lingering effects. in terms of why did you want to go into this? i loved science growing up but i didn't want to be a doctor and didn't want to be a pharmacist. the more i learned about forensics how interested i was of the perfect combination between applied science and criminal justice. if you are interested in finding out the facts and truth seeking

to find out what happened, anybody interested in that has a place in this field. >> being a woman we just need to go for it and don't let anyone fail you, you can't be. >> with regard to this position in comparison to crime dramas out there, i would say there might be some minor correlations. let's face it, we aren't hollywood, we are real world. yes we collect evidence. we want to preserve that. we are not scanning fingerprints in the field like a hollywood television show. >> families say thank you for what you do, for me that is extremely fulfilling. somebody has to do my job. if i can make a situation that is really negative for someone more positive, then i feel like i am doing the right thing for the city of san francisco.

[roll call]san francisco. >> clerk: great. commissioner chung, would you please read the land acknowledgement? >> yes. it's my pleasure to read the land acknowledgement. the san francisco health commission acknowledges that we are on the unceded ancestral homelands of the ramaytush ohlone who are the original inhabitants of the san francisco peninsula. as the indigenous stewards of this land, and in accordance with their traditions, the

ramaytush ohlone have never ceded, lost, nor forgotten their responsibilities as the caretakers this place, as well as for all peoples who reside in their traditional territory. as guests, we recognize that we benefit from living and working on their traditional homeland. we wish to pay our respects by acknowledging the ancestors, elders and relatives of the ramaytush ohlone community and by affirming their sovereign rights as first peoples. >> okay. for folks watching, we're going to go out of order on a few orders because of commissioner conflicts and issues. so we're going to go item 10, commission chow, can you give an update? >> oh, surely. the finance committee met this

afternoon and reviewed a number of contract renewals. i'll list them quickly for you. you do have the text. the first was the family services, approximately $2.6 million to be extending the term for five years, for a total proposed amount now of 2.9 million. the increase are due to a number of causes that are included in the increase, including an increase of 100,000 in medi-cal funding and state matches. of interest is the fact that in july of 2023, the foster care

treatment and rehabilitation services will drop out of this contract, and so does that portion of the money, as they are going to be going out for a different contract. the second contract that we reviewed was port health, which is to extend this contract for 2028. this is a substance abuse program for residents and will just be an extension of their services which have been reviewed by staff and inside of covid. they were able to perform a number of services needed in our community, and so it's an extension of the contract of about $1.5 million. the third contract we reviewed was project open hand. as you know, they deliver food

packages and also are doing nutrition counseling under this contract. it's a contract for about $1.7 million. will be extended here for 2027, and they, in fact, served over 2,000 clients, unduplicated over the contract year that was reviewed. the next contract is the san francisco aids foundation. this extends their contract to 2025 and adds about 600,000 in funding that comes from various courses. in this contract, they have a multimillion dollar series of contracts with the department. this work is in regards to

h.s.c. the next contract that commissioner guillermo will later describe, and the last contract is the children's network. this cares for children and their families, particularly in the black and african american communities. it is a hub of collaboratives of city agencies that are caring for those that are in great need and goes to 3.9 million. all of these were recommended for your approval at the

consent calendar. mark, did you want commissioner guillermo to describe the chinese hospital or do you want to take that up separately?

[indiscernible]. >> and the committee did recommend its approval, and dr. chow was not present for this discussion or this recommendation. >> thank you, both commissioners, and we can move on -- commissioners, any questions? anyone else? >> and should we solicit public comment? >> yes. folks on the line, if you would like to make public comment, this is item 10, because we jumped ahead to the public finance committee comment, press star, three to raise your hands. all right.

item 3, consent calendar. >> okay. i'll have to recuse myself for the chinese hospital item. >> okay. i'll move to adopt the consent calendar. >> second. >> clerk: okay. i'll do a roll call vote. i will not start with commissioner chow because he's abstaining. [roll call] >> clerk: thank you all very much. the item has passed, and thank you again, commissioner chung, for joining us for that. >> thank you. thank you so much. >> oh, my pleasure, and happy new year, everyone. >> clerk: and to you, too. i'd like to go back to the original order of the agenda. item 2 is the approval of the january 18, 2022 meeting minutes. >> all right. are there any amendments or corrections to those minutes? okay. hearing none, is there a motion to approve? >> i so move to approve the

minutes of the last meeting. >> is there a second? >> i'll second. >> is there any public comment? >> clerk: folks on the line, if you'd like to make comment on item 2, the minutes, please press star, three now. >> aside from public comment, i'm sorry, i did go into a suggestion on part of the minutes on page 7, and i just noted this now. under the section on the

covid-19, dr. susan ehrlich stated that the department was using policies rather than measures. >> clerk: i'm happy to make that edit. commissioners, if you would consider that edit in your vote. and since there's no public comment, i'll take roll. [roll call] >> clerk: all right. so the minutes are passed. thank you. >> all right. so director's report. >> good afternoon, commissioners. grant colfax, director of health. you have the director's report

in front of you, but i'm going to highlight a few things. we have a shared effort across multiple city departments that's currently being led by the department of emergency management and is modelled very closely on our covid response. i think things are going well. we continue to iterate and serve people who are coming into the center the most, but just a couple of key metrics. the center is welcoming over 200 guests a day, and during the first week of operation, the center hosted over 1100 visits, with 268 meaningful engagements, nearly 200

referrals, and naloxone was administered three times, and the center has been received well by guests, and there are repeat guests, and really, the model is to make it the one-stop shop that many of us have been trying to make it for a very long time, and really, d.h.s. is trying to make it linkage to behavioral health treatment, medical services, and we're collaborating with our other colleagues with regard to other needs, which includes requests for housing, other shelter, food, and clothing, so just to give you an update on that. in terms of additional items on the director's report, we did

have a very exciting extension of $5.4 million to the right to recovery fund. this was announced by the mayor along with supervisor hillary ronen. this will extend the program to the end of june of 2022 to meet the current surge in applications, and the current program will continue to support covid-19 positive san franciscans who continue to need financial help to survive. this is an effort that we are in close collaboration with with the office of economic and workforce development. this is really an economic support program that augments and supports people who have a key health issue, and we're also collaborating with ucsf and community-based organizations, including the mission economic development agency and the young community developers. moving on, i do want to share some news with regard to our

drug overdoses in the city. as we know, we are faced with a pandemic of drug overdoses, unfortunately deaths. just a few -- on january 19, d.p.h. made an announcement that overdose deaths were 20% lower than 2020. this is based on findings of the chief medical examiner, and obviously, we continue to strengthen our drug overdose response across the city, including in the linkage center and expanding treatment options and overdose prevention, including through mental health s.f. and the extension of many other programs as the commission has already been briefed on. there are multiple overdose presentation initiatives that

are being developed or underway, and i would call your attention to these in the bulletin report. we're seeing the first signs of -- next topic, in keeping with chinese new year, on january 29, catherin wong hosted a celebrity cooking show with martin yan. thank you, catherine for organizing this event, and it's always good to bring a

celebrity chef to d.p.h. and encourage healthy eating in the community. finally, in recognition of our outstanding d.p.h. team, occupational health created, under the leadership of jenna cohen, started a new monthly leadership letter, called be safe healthy buzz. the newsletter split into two topics, which presents information on how to create relevant safety material that managers and supervisors can readily share with their staff. so in terms of one of our key initiatives at the department, making sure that staff are safe. this is a really great effort on the part of jenna and zuckerberg san francisco hospital. so just wanted to highlight that because we have so many incredible people doing great things, not only with covid but also aspects to protect our community and our staff, as

well. that's my director's report, and i'm happy to answer any questions. >> thank you so much for all of this very positive news. excellent. is there any public comment on the director's report? >> clerk: folks on the line, if you'd like to makes comment on item 3, the director's report, please press star, three so we can recognize you. again, star, three. i see no hands. commissioners? >> okay. what about commissioner questions and comments? >> i -- i'm sorry. i can't raise my hand for some reason. it just sort of didn't give me the option today, but i did want to ask director colfax, because of the great initiatives going on and the great timeline going on, is there something that we can

follow to understand the time when certain of these items are coming on? i know that we've received the street organized response. i'm just wondering if there's an organized way we can watch through the program. >> thank you, commissioner chow. are you talking about overdose initiatives in the broader context or the tenderloin action in linkage center? >> well, i think both. and actually, it all fits in with mental health san francisco, too, so it's all just in a regular fashion trying to keep up with the different ones.

we looked at the street overdose response team, which took a number of people away from care, and that was successful, and now that we have so many of these, it would also be perhaps the same as the mental health san francisco, and perhaps you want to separate the two. but i leave that to you to present this in an organized fashion so that we can all be tracking it and understanding the progress that the department is making. >> absolutely, and we'll work to collaborate something that's going on and the work that

we're we are -- we're spear heading. happy to report back on that. >> any other questions? i'm sure the report will be impressive for us, so thank you especially in the context of covid. it's great that you're able to do this work. really remarkable, so i guess we'll go to the covid update. >> great. grant colfax, director of public health. i wanted to start off with a number of announcements because we are likely in a transition state and how we're preparing the best we can for what is still an uncertain future.

what we do know is omicron is more infectious but creates less severe disease. the vaccines are very effective in preventing severe illness and death, and i would just really reinforce that by citing c.d.c. data released on friday, which showed people 65 and over, people who were fully up to date on their vaccinations were 49 times, 49 times less likely to be hospitalized with covid, and for the age group between 50 and 64, they were 44 times less likely to be hospitalized with covid. and as the commissioners know, there are very few things in medicine where you have that magnitude and effect, so just

reinforcing what a powerful tool and foundation these vaccines will continue hopefully to be. our robust efforts have prevented many severe cases, saved lives, and helped maintain optimal capacity, and again, i think the foundation is our high vaccine rates but other rates, as well. i think the thing that omicron has highlighted is covid is here to stay. we need to continue to show compassion and grace for those with covid-19. many of us have had covid-19 at this point, and while we won't be able to prevent every case, our focus needs to be on preventing the worst outcomes. what is likely in the near future is that -- well, this is not just the near future. this is now.

the surge has peaked, and hospitals are very slowly starting to decrease. supplies of test kits are improving, the rapid test kits, and that retroviral medications should improve soon. and then, the on going response and planning at the local, state, and federal levels must be flexible and elastic to respond. our focus should be on equity and maintaining hospital capacity and preventing deaths, but there's a shared responsibility for all health care providers for vaccines and testing. that we must balance the covid response with multiple competing health issues, including behavioral health, and take lessons learned from covid and strengthen our community health partnerships not only with covid but many illnesses that we know that

existed before covid but that covid highlighted. i would like to ground this in our national, state, and county comparisons. with our death rate, you see that the deaths per 100,000 population, you see we have unfortunately exceeded over 700 deaths of san franciscans due to covid-19, very unfortunate, you see that our deaths per 100,000 population, our death rates remain the lowest. the initial series of vaccine, we're at 82% and tied for first place with miami-dade in florida, and then higher than these other jurisdictions. and booster rates are not available for jurisdictions on the left-hand side of the slide, but you can see our booster rate is at 64%, and far

higher than the state as a whole, and far higher than the rest of the united states. i just want to take a moment to thank the residents of san francisco and health care providers alike. so our surge, we are on the down slope of the surge. you see that the san francisco pattern, which is shown on the larger graph here, is in the insert of the national trends, and you see that steep decline. just to acknowledge that we are up at almost 270 per 100,000 cases, and then, the sharp drop, 125 per 100,000 cases per resident. in terms of case rates by vaccine status, not only are these vaccines so protective

against hospitalization and death, they still provide substantial protection from covid-19. we see the rate among unvaccinated rates -- among unvaccinated residents is still nearly 300 cases per 100,000. we see their initial vaccine series, it's 101 cases per 100,000. next slide. we have peaked at the -- we actually reached our highest level of covid positive hospitalizations during this surge, at 286. that number has now come down to 243 people on the 28 in the hospital with covid-19. we estimate that between 30 and 50% of these cases are people who are in the hospital primarily for other conditions that are not covid, but just to remind the commission that this still requires -- takes

tremendous burden on our staff and just hospital operation capacity because obviously somebody who has covid even if they're in the hospital for a different reason has to be treated very -- in ways that -- prevention control and so forth and ways that take substantial health care system resources. next slide. in terms of our vaccine administration, you see here we're at 64% -- 64% of vaccinated residents boosted, among them people 65 and up. and 11 and up, 62% have

completed the vaccine and booster set. this is far above the national average for this group. booster recipients by age, 65 and plus by 81%, 12 to 17-year-olds at 32%. other age groups in the middle, we're seeing a slow but steady increase in booster receipt now. there are booster appointments available widely across our city, and just to remind the commission, we still have 100 sites across the city where people can get vaccinated, so san franciscans are within five to ten minutes of a vaccine site. and again, boosters are available at many of these sites, and again, capacity to provide these boosters is not

an issue. next slide. so in terms of the future state of covid, just to emphasize that this virus will remain with us, and there may be future variants and surges. we'll continue to follow the data and science. that we can and learn to live with covid in ways that do not fully upend our lives and balance our approaches going forward. many people can and will get covid, and we need to focus on an equity driven response, focus on preventing hospitalizations and deaths and maintaining hospital capacity not only for those who have covid but other serious medical conditions for those who need to remain in the hospital. we need to focus on keeping schools and essential services open. our efforts include vaccinating and boosting everyone who is eligible, layering risk reduction strategies when needed to reduce transmission

through masking, ventilation, reducing exposure, staying home when sick, testing, and other measures, and continuing to work with community partners and leaders to prevent and mitigate covid-19. and some possible scenarios in the medium to long-term, there is some discussion on the more optimistic continuum, that covid response is similar to the flu response, where there may be future variants, but they are manageable, and perhaps vaccines -- either the current vaccines continue to work well against these variants or they continue to be modified. and then, on the other end of the spectrum, other variants emerge. certainly plauzible, given the overall rate of vaccination, both in the united states and globally at this point. so that completes my update to

the commission. happy to take any questions. thank you for your attention. and i think we would like to link ourselves to the gratitude that you express to the department of public health and community members who kept us safe. is there any public comment on this item? >> clerk: folks on the line, if you would like to make public comment on item 4, press star, three. i do see a hand. i'm going to read a statement before i unmute this person. for each agenda item, each member of the public will be allowed three minutes to make a comment. it does not allow members of the public to engage in back and forth conversation with

commissioners or members of the commission. i will put two minutes on the clock, caller, and then, i'm going to unmute you. please let us know that you're there. >> hi. i'm here, and i'm ready. this is mike petrellis calling, and i want to again remember that d.p.h. begin a discussion about mailing residents masks and covid-19 tests. i think that the good news that grant colfax has presented today is terrific, of course, and that we can build on the good news of today and all those statistics by making sure tests especially are mailed to people. i'm still waiting for the h.h.s. to mail me the four tests for my husband and i.

we signed up on the first day. we requested the four tests. they were supposed to have arrived by now, and they haven't, and i think that an effort in san francisco to mail residents masks would greatly complement what the feds are trying to do. and regarding masks, you know, dr. colfax said the covid is here to stay. we adapt to it, it adapts us. and i think in the guidelines, we need to say at least masks. everyone needs the n95 masks now and in the future for other variants that may come along, and, of course, other viral epidemics that could be on the agenda. that's what i have to say.

thank you. >> clerk: thank you very much, caller. so commissioners, that's the only comment that i see. >> and are there commissioner comments or questions? i believe that commissioner chow had some that he submitted -- oh, and his hand is up. he raised his hand. >> i figured out another technical area i'd like to try, and it worked. thank you. well, i have two areas of concern -- well, they're not really concerns. first, i've been receiving a lot of questions concerning the second booster, and there's a lot of what seems to be conflicting advice, and i'm wondering if our departments have any word on it. i've unearthed that some of the vaccine sites will not ad

summer a second booster while some site -- administer a second booster while some sites have and what time that will be. and particularly, the issue of covid in the s.r.o.s, and i know that dr. colfax was involved in that, and i was wondering what the response was in that. if a resident gets covid in an s.r.o., it's not very possible in these congested and congregate living places to adequately shelter in place with the isolation or quarantine, so i had wanted to try to understand the response that the department is now

trying to reach out and do. s.r.o.s are, as we know, a large number of people who are living in them in both the mission and in chinatown, and those are my two questions. >> well, thank you, dr. chow, and i will respond to the question about boosters, and another doctor is on the line to clarify about the question about the s.r.o.s -- to respond to the s.r.o. question. so just in terms of the -- of boosters, second boosters may be offered in other countries internationally so just to emphasize that. i think that there's two places that may be confusing to people

with regard to additional vaccines that d.p.h. is offering. one is for j&j recipients, johnson & johnson vaccine recipients, we are offering a successive dose. we are now offering a third dose that should be given after the second dose, and we offered a second dose to j&j recipients before service recommended by the c.d.c. we are now offering what we

call a supplemental dose to those j&j recipient, so if you're old enough to receive a j&j, you would receive a booster shot, and then, you would be eligible, five months later, for a third shot, so just to emphasize that. and i think the other piece that goes to people who are immunocompromised, for people who are moderately to severely immunocompromised, the c.d.c. recommends that those people receive an additional dose 28 days after their second dose. and then, people in this group can then receive a booster dose at the usual interval sets

recommended by the c.d.c., the state department of public health, and the d.p.h., so i hope that clarifies with regard to the question you asked. >> no, i appreciate your comments that the second booster, and the number of people that are thinking of it. i think the second question came of fragile or multiple illness versus immunocompromised patients, but i think you're saying that the c.d.c. has not really talked about that group but just the immunocompromised. >> that is currently as we understand it, and again, there are no recommendations for second boosters in the united states from the c.d.c. or the cdph, and again, we are offering that supplemental dose to j&j recipients consistent

with our prior recommendation for a second dose. that is now that third dose. >> thank you for that. again, i'll try to bring that up to people that are asking, so thank you. >> thank you, and i'll turn to dr. baba for the question that you had about isolation and s.r.o.s. >> thank you. thank you, dr. colfax, and dr. chow, to your point, i think one of the things that we know about omicron, you know, with the spread of it and being so rapid, it is really -- there are -- it's hard to make an intervention that will make that spread, so absolutely, vaccines and boosters being fully up to date is the best way to ensure that we are preventing severe consequences

of the disease. and so we have several efforts of ensuring, working with our s.r.o. communities to get people boosted and also get people connected to tests if they need them. i know there was a testing shortage for a while, but we have a good supply of rapid tests and have been providing that to our community partners in places where they serve the community, like the mission, as well as like you said, in chinatown. and if somebody is living with somebody that is at high risk for a bad outcome from covid or if there is an unvaccinated member of the family, they can definitely call our resource center and get, you know, guidance, and also, will get a recommendation of an isolation and quarantine room to see

what's the best way to proceed. i know that this surge was particularly hard on the fact that people living in congregate settings were, you know, getting infected. i think the good news is across our congregate settings, including s.r.o.s and shelters, we did not see outbreaks, and i think that's because most of san francisco has heeded the message of getting vaccinated and boosted to a large degree. >> so i guess i appreciate the information. the chronicle seemed to indicate that as people were looking for advice, they weren't getting information in terms of living closely together. i'm not sure if they are reassured the illness, especially if you've already been vaccinated is not as

serious or if it becomes more serious, let me know, and i'm going to get you somewhere. is there adequate support for that. i know that everybody is stretched really thin, and i understand if i were to answer any phone, i might tell you the same thing, and yet, people don't feel that they can just call you. do you have more of a direct or personal intervention where it sounds like they might need some more intervention or services? >> yeah, i agree with you on that front, and that's where people that work with the community on a regular basis are so important because that you are our trusted partners, so really working with our c.d.o. partners to get that message out. obviously, if there is a frequent need -- and i forgot to mention we have more of our hot food deliveries so that keep can isolate in place so

they don't have to use the kitchenette, which was also brought up, i think. so we are definitely working towards continuing our message through the s.r.o. task force that was convened early on, and continuing those community connections, but we can always do better, absolutely, and happy to hear from you separately if needed on some of the gaps that you might be hearing about. >> yeah, no, i appreciate that. i guess my final question that just came up as we were talking is do we have the language capabilities to help explain adequately in at least how people understand and were simply, you know, the concepts that a mild case may not require this but if you need to be isolated, i do have these services, and not just call it a different line or something.

>> yeah, and that's a great question. i can specifically ask about the line around the language capacity. i think there are hopefully multilingual options available, but i think as you noted, some of this messages has to go through trusted messengers in the community so it's not just somebody on a phone recommending that. so i think both sides of that will be important moving forward. >> i think it will be important in the department. i will certainly reach out, and we can try to resolve, you know, the areas that they have concerns about. i appreciate your explanation. thank you. >> thank you. any other commissioner questions or comments? i guess i just had one. do we have any data about the

percentage of individuals in s.r.o.s that have been boosted? does it reflect the excellent numbers that we have for the community at large? do we know? >> thank you, commissioner. i don't know that we have -- oh, go ahead, doctor. >> thank you, doctor. we have databased on age but not on living situation per se. >> okay. well, i guess no other questions or comments, the next item is general public comment. is there anyone on the line? >> clerk: sure, yes. there are people on the line, and folks that are on the line, if you'd like to make a general public comment about something, about a topic that's not on the agenda, this is the time to do that. please press star, three to raise your hand so that we can acknowledge you. your general public comment, again, star, three. i'm going to give it a few more

seconds, commissioners, just so we don't miss anyone. all right. i see no hands. >> all right. then we are going to entertain a resolution to celebrate black history month, and i believe that dr. bennett will present. >> yes, and before dr. bennett speaks, if i may read the resolution? >> yes. >> celebrating black history month. whereas black history month celebrated in the united states from february 1 through march 1 each year, providing an opportunity to highlight unique contributions of black african american individuals and communities. and whereas the association for the study of ari can american life and history sponsored a national negro history week in 1926, choosing the second week of february to coincide with the birthdays of abraham lincoln and frederick douglass. these events spread across

cities and college campuses in the decades that followed. and while gerald r. ford was the first president to recognize black history month in 1976, and every area and endeavor throughout our history. and whereas since 1976, every u.s. president has recognized february as black history month and endorsed a specific theme. and whereas the 2022 black history month theme is black health and wellness, exploring the legacies of black african scholars and medical practitioners in western medicine, in addition to many other modalities of practitioners in the black and african american humanities.

the resolution acknowledges the impact of racial discrimination and the many health disparities, including higher rates of covid-19 faced by black african americans in san francisco. and whereas the san francisco department of public health developed its public health equity action plan, and whereas the health commission monitors implementation of the d.p.h. racial equity action plan through quarterly updates through the d.p.h. office of public health equity, and whereas the d.p.h. has developed programs to combat health disparities, along with

supporting covid-19 prevention activities in the black rfri can american communities in san francisco. and whereas the d.p.h. community funds programs directly impacting san francisco black communities, such as the san francisco aids foundation, rafiki coalition, bayview-hunters point foundation, children oral health initiative, among many other effective communities. therefore be it resolved that the san francisco public health commission recognizes february as black history month and continues the partnership with and further resolves that the commission health commission celebrates black health leaders

in all aspects of d.p.h. and all the services that it provides. dr. bennett? >> hello. i am really proud and grateful that we are moving in this direction, and i wanted to just comment on how the commission taking these

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>> i know that the commissioners have had some questions about labor

shortages, and while this definitely doesn't directly address the national issues that are happening, a lot of this investment is really around expanding our ability to recruit and retain our existing staff and employees. in addition, this initiative also adds five f.t.e.s to the racial equity program and increasing the number of racial equity [indiscernible] within the department. in addition, we're focusing on investing in d.p.h. operations and adjust core operating, adding six f.t.e.s and other positions to dramatically

increase the communications and supply chain management and another one related to security. for population health, we learned a lot in the last two years. we will support the division in managing infectious disease prevention preparedness response and recovery and ensuring that we have a workforce that is driven by data and the data science. simley, responding with what we call sepr. this has been at our heart of response to covid-19, and we are working to ensure that we

can enhance our capacity and rapidly respond to emergency management including covid-19. on the ambulatory care of side, at jailhouse, we are proposing to expand reentry services, expand norepinephrine doses and add quality of improvement to jail health. it's to increase [indiscernible] and expanding discharge treatment and planning and improving quality of care and documentation in jailhouse. next initiative is covered entirely by dentacal revenue, but with the opening of the new covid public resource center, we have an additional dental

care that we would like to staff, so we're adding dental staff to staff that expanded capacity that we have, as well as one additional staff member at the southeast community health center to improve patient flow. [indiscernible] so within -- for our maternal child health, we are expanding our coordination and adding two public health nurses to target their health disparities for low-income women, focusing specifically on pregnant black african american women. moving to the hospitals, at laguna honda, we are investing

in care coordination to improve admissions and discharges and as well as to address the complex care needs at laguna honda, and we'll ensure that we have additional clinical care support. in addition, we'll add an beneficial behavioral health -- additional behavioral health emergency response team. commissioners may remember last year we added one during the day shift, and this will expand the service to cover nights and weekends, so we will have the necessary care for patients experiencing escalating levels. [indiscernible] we are

increasing clinical support at zuckerberg san francisco general, operationalizing 15 surgical beds in the h.s.h. unit. previously, we have used this as a flex unit and project funding to be able to surge up and staff these beds. however, just given our historical and recognizing the continued need for an elevated [indiscernible] at san francisco general, we're proposing to replace that project with permanent staff in clinical and ancillary services as well as providing u.c. support for imaging [indiscernible] and also reorganizing the surgical and intensive care units [indiscernible] so overall, while the costs are 1.9 and

2.4 million, we are [indiscernible] to help cover the additional f.t.e. involvement. the next initiative is a prior year initiative around expanding our special pharmacy program. this is for additional patients and work that's needed. we think can he with actually achieve savings -- we can actually achieve savings with the general specialty pharmacy. the next is implementing impella cardiac support devices

at zsfg. this is improved treatment, and if we are able to have the capability of acquiring these devices, we can provide these procedures within zuckerberg san francisco general and avoid out of network costs for transferring patients to other hospitals in the region. last but not least, zuckerberg will also be adding positions to staff for designated position entries at zsfg. this is actually based on work that started as a result of covid and screening, but what we found was that by adding these screeners at these entrances, we [indiscernible] security and [indiscernible] to better navigate and get to the services and people that they need to see.

and last is the inflation rate. similar to prior years, we [indiscernible] has increased cost for pharmacy and food and other [indiscernible] which provides all the medical and clinical services at the hospitals. there is an increase of $12 million, a 5.4% increase year over year and brings the final increase to 236 million by the second year of the budget. lastly, commissioners may recall we have a persistent shortfall in our revenues in the office of managed care. we see about $14 million

shortfall related to the shift of people from using medical reimbursement accounts rather than healthy san francisco because with m.r.a.s, they can buy insurance rather than enrolling. this is consistent with what we've seen in our financials, and we are trueing it up here. also, as you are aware as commissioners [indiscernible] while we have assumed 6 million of this revenue, but we are holding off on recognizing any of it until the [indiscernible] process is completed over the next through years, and so for the time being, we are taking it out of our revenues, which is a net revenue reduction of 20.5 million [indiscernible] so all of these reductions are

summarized here. overall, we are present being a slightly better than -- presenting a slightly better than balanced proposal with our additional investors and our key strategic priorities. we do have -- we are slightly on the positive side, which we will use for technical corrections or apply towards future -- future needs around covid, and so for next steps, with your permission and approval, we will submit this proposed budget to the commission -- to the controller and the mayor's office. over the course of march and may, we will develop our covid continuity plan. in addition, we will work with our our city, our home commission to develop any

spending plan. it's similar to what we developed in the prior year. unlike the year prior, when we were building it up from scratch and appropriation, i think it'll be a less intense process, but we'll always look to improve and update our spending plan for these critical services. and again, the mayor's proposed budget is due on june 1, and then, on june -- between june and july, we will have forward [indiscernible] and with their approval, they will adopt the budget by the end of july. and with that, that is all i have for the commission. i am happy to answer any questions, and i had a lot of information.

>> well, thank you so much. your information, and you way you take these complex ideas and distill them. you know a lot about the cardiac component, but it's remarkable the knowledge you need across so many different things related to health care to present this, and to do it with such clarity, i think it's commendable, so i think i speak for all the commissioners when i say thank you for taking these complex issues and making it easier to understand. i guess i should ask for a motion to approve and then public comment, mark? >> clerk: yes, that's correct. >> is there a motion to approve the budget as proposed? >> i so move to accept the budget as presented. >> and is there a second? >> roll call vote. >> clerk: i'll call public comment. folks, if you wish to make a

public comment on the second item on the budget, item 7, please press star, three now so we can recognize you. again, star, three. i do not see any hands, commissioners. >> and then what about commissioner questions and comments? >> actually, commissioner green, we did actually have a question that i failed to address. it was around labor and wages, and so all of our civil service employees are represented by a labor union. i believe almost all of them have open labor contracts, and we are starting open labor negotiations this spring and through the mayor's proposed budget. there are wage increases assumed as part of the five-year [indiscernible] protection of 3.2% as well in the first year and then an

additional 2.8 based on c.p.i., and that's assumed on the wages this time that the final wages will be a result of the negotiations that will occur this spring. >> thank you. i had asked whether there was cushion in the budget given all the news about inflation as well as the competitive job market. commissioner chow, i know you had some questions. were they answered in advance? >> let me see... >> i think you might be on mute. >> now can you hear me? >> yes.

>> sorry. i guess next month we won't have this technical problem. or maybe we will. i wanted to commend the department and all of us to say that this is one of the very few times, if not the first time in many years, we were able to look at trying to do those things that improve the department rather than just sort of keep the department above water, and sometimes we had to make [indiscernible], and sometimes, it's been hard to read over these years, and now, we're talking about adding people and adding types of programs. i found that, in the 100-plus pages, there was just an excellent detail of all the thoughts that were going into

these initiatives, and i just wanted to really say i really appreciate all of these initiatives and programs that we've had for a long time. [indiscernible] more transparency in terms of the total number of people that we're adding to the department and, obviously, then, that's probably a very small percentage, but i don't know how many people we're adding versus the department already has about 6,000 or 7,000 employees, so there's no question that i think you made a good case of all the things that have to be done and should

have been done long ago, many of them, and opportunities to improve both our systems, and obviously, with the cardiac machine and all of the outcomes we were having to perhaps use outside resources for. and i think that, in general, i would have also liked to have understood more some of the services that we were going to be able to [indiscernible] not be able to move, which is, for example, i guess for 20 or 30 years, when we drop the t.b.

clinic available at chinatown due to funding constraints, we never restored it. i'm not sure i saw any intent to restore it, and i think this might be an issue. i don't know, but we haven't studies it for a number -- studied it for a number of years [indiscernible] and offer, i guess, the direct personnel to offer treatment. these are small things compared to a huge budget, and certainly, i'll vote in favor of it but i'm sorry, again, i don't understand where we [indiscernible] have additional programs, so maybe they are sea

in there for a strengthening and it was sort of a big topic for several years ago and just dropped off into a sort of a routine or has just been forgeten, but i didn't -- forgotten, but i didn't see the details on those. and i do think those are opportunities in f.e., for example, or dive into these initiatives as to where we are adding resources in terms of equity. so -- but they are areas that are think in the future, as we refine these, that it would be some examples in which there are other initiatives to renew

the american indian resolution, that i acknowledge it again, that i just think we need to, with all these resources we now have, move equity beyond what we know is an important and ambitious priority to resolve, which is that is the african american community. i am sure the latino community has some similar ones, and i'm sure that dr. bennett has been working on this, and i commend here, but with these resources, i would like to put in a clause that we are able to look at some of the specific ethnic issues that i think were set

aside because we did not have the funding that we needed to get after our most acute problems and those that were obviously very much in need. that's just my thoughts. i think the budget is very well crafted. i think it's got a nice balance that we now are starting to add back into our back offices. when we did [indiscernible] we always cut our own offices instead of services, and i know this is catch-up and that there's a chance to really get them all back and continue to do all the work -- well, not continue, but to do the work that you all need to do for this very large department. so i thought this would be a great opportunity to also then

look at services that a number of other communities may not have been able to have because of the restrictions of the budget in the past. >> thank you. thank you so much, commissioner chow, for your thoughts and observations and the long history that you know so well and how this budget is quite remarkable for the opportunity it presents. i see mr. wagner's come on screen, and i don't know if that meant he wanted to make a comment. >> thank you, commissioner. i was -- my video wasn't working before. i did, out of timing, but i did want to just echo some of the things the commissioner said about having done. this is my 16 budget with the city and 11 with the department, and this one is so complex due to the environment that we're in and how vast the

department and the responsibilities placed on the department are changing, and the things that we're taking on, and the ways that we're taking them on. and i really just want to add to the commissioner's comments about the finance team, who has been working, like -- literally, like, really around the clock to try to put this together, and also the program staff that has been also carving out time to work on all of these initiatives while we're trying to do covid and do the tenderloin and do all of these other things, and so i just want to appreciate everything here, and it is a work in progress, but i think it is a little -- a moment of history to acknowledge all of the things that are changing in the department. tough, tough times, but a lot of changes for the better, and this is really notable budget in my time. >> thank you.

thank you so much, and director colfax. >> thank you, director green and commissioners. i also wanted to thank jennie louie and my team for pulling this together in record pace, and just to enforce that this budget is two budgets that will help us bring d.p.h. into the future. you know, it's been said that systems is -- governmental systems have been running on 19 century and, at the best, 20 century technology and support, and i think while covid highlighted the strength of the department, it also highlighted the weakness of the department and the investments that we need to make in some very basic things, some very basic things to ensure that our systems are working well to serve people. and this shows the opportunities that we can go forward with, and also the fact that the current status, i mean, quite frankly, coming off

of this omicron surge, our people are exhausted, our systems are depleted, and we need to make sure that we not only maintain what we have been trying to do not only for the next two years -- for the past two years, excuse me, but that we can strengthen and sustain going forward. and this budget help is -- helps us do that, but we have to develop a system in a way that we've not always been able to do that, having to make some risk-benefit calculations, still having to understand that if we have another surge, there will be downsides to that in terms of other things that we can't do, and that helps us mitigate that to some degree,

but also just understanding that we will come back to commission with a covid specific budget to better support our community and the services that are needed and ensuring that we will be able to retain, grow, support, and hire new talent because, again, this has been a really big surge. last surge, we had, as you know, hundreds of people out ill, and people have been really burning both ends of the proverbial candle, and i just want to emphasize that this budget is i think an inspiring step forward to, again, bring our department into the 21 century and address the baseline needs that we've had for so many years that dr. chow so eloquently described and also provide us with a much better foundation to respond to

future challenges, whether it's covid, the next pandemic, the illnesses that we know will affect our communities at the community and population level, so just want to thank you for your support. so much work to do, but i think, again, the visibility and the investments that we need to make in this budget is very clear, and i want to thank the team for that, and the many, many people that contributed during the peak of the surge to getting these numbers and getting these investments that, again, are very much needed. thank you. >> thank you so much for those comments. i think it's time for a roll call vote. >> clerk: okay. [roll call]

>> clerk: the budget passes. >> thank you all so much. the next item is our d.p.h. safety services staffing plan update from mr. price. >> and mr. price, i'm giving you the presenter permissions right now to share your screen. i apologize. >> thank you. good evening, commissioners. thank you. give me an opportunity to just pull my presentation up here. >> looks great. >> all right. just to give you some background and we'll move forward with the updates. as everyone knows, last year,

d.p.h. budget, which included the changes in the security management budget plan were included. that included racial equity as well as decreasing law enforcement at the d.p.h. facility, so at that time, the implementation period was scheduled for march. since then, we've had to make adjustments for staffing and training, and then, the third project manager, joan torres, is going to be speaking about the budget response and training program, and then, finally, we'll be hearing from security officer carrie johnson regarding department

recruitment and hiring. just want you to know that we'll have three elements. the first is to reduce the number of sheriff's departments by 11.4 f.t.e.s and add 31 psychiatric nurses as well as technicians. and this was for march. as we move forward, you'll actually hear the hiring and recruiting process, which requires that we actually implement the [indiscernible] team in phases incrementally beginning in march through may 22. currently, there are no berth f.t.e.s. we're using existing psychiatric staff to respond to

clinical rounding, and they respond to calls as needed. and our phase two will begin in march. to ensure there's no coverage gaps or service gaps, we'll continue to maintain the same level of deputy coverage throughout the hospital campus. once we have trained and hired six [indiscernible] f.t.e.s, then, we'll move into b.e.r.t. staff. and then, in phase four, we'll just continue to build to the

goal of the 31.9 f.t.e.s and the 24-hour operation. as additional b.e.r.t. team members are hired and trains, we'll be able to build the reduction of those deputies as we continue to increase the number of b.e.r.t. team members. the second element is the zuckerberg general security plan was that nine uniformed cadets will function as health care ambassadors. in working with the sheriff's office, they have been doing mass hiring not just to address this plan but also to address the current staffing shortages. they have reported that they are on schedule and expect to have a full complement of cadets by march.

the uniform changes, those have been ordered. they have the vouchers. it's just waiting on the supply of new uniforms to come in so they can roll out that portion of the program. 31% of cadets have already been through the sheriff's office ambassador's training. on an on going basis, they're continuing to take more cadets through that training. in addition, they're developing a training video specific to the zuckerberg campus, which is being developed in collaboration with the sheriff sheriff -- sheriff's office, d.p.h., and emergency department. and with that, that'll include training simulations vafg both d.p.h. and the sheriff's office. under the d.p.h. portion of the cadet's training, we've already ordered the materials fof the

health care officer security training force as well as crisis presentation training and then, there's d.p.h. crisis training that is underway in the emerge system. the third element of the plan for zuckerberg was to reduce the number of deputies and adding two f.t.e.s for information providing at the front desk. this'll be managed by a patient experienced who has reported that the interviews are underway, and they're also on schedule to have this position filled by march. security plan for laguna honda had two elements. it was to reduce the f.t.e.s by

8.2 and have 8.2 nonuniforms cadeted. it's expected we have a full complement for implementation in march. the second element of laguna honda's plan involved three f.t.e.s and psychiatric nurses to work with their behavioral response training. this portion of the plan will be managed by the nurses, administration, and these f.t.e.s will perform no security functions. and again, when we get to the hiring and recruiting part of the presentation, you'll hear more about the status of those f.t.e.s, as well. with the community clinics, the plan was to replace sheriff's deputies at the four locations there, contracted with community-based organizations to provide client services.

the r.p. was finalized january 19, which required approval from the civil service commission, and there's a meeting to consider that in april. so this is a part of the plan that we'll need to push out to may-june. in addition to that, the behavioral health access center at 1380 howard will be excluded from that list. we'll continue to have deputies assigned to that particular location. now, under the current state, since we presented the proposal to the health commission back in july, or may, i believe it was, there's been a reduction of law enforcement use of force by 25%. in addition use of force by the clinic, in that same period,

there's only been one use of force at the clinic and zero incidents of use of force at laguna honda. it's based on the current climate that we're in and scrutiny of law enforcement. law enforcement or sheriff's deputies are actually taking more time to engage in persuasion as well as verbal deescalation, and although that's time-consuming, we actually see it as far as time for patient safety given that the majority of use of force is against our patients. as i'd mentioned before with regards to the sheriff's staffing challenges, the pie chart on the right actually represents 368 hours for a four-month period, 368 hours go

unstaffed, which equates to about 9.2 f.t.e.s. the whole thing that i wanted to bring up about this state is while we're developing a new staffing model, a new staffing management plan, the current model is driving us in that direction toward those staffing and objectives. our plan actually looked to decrease sheriff f.t.e.s by 11.4. over the past four months, we've been operating 9.2 less f.t.e.s just based on the shortages. in addition to that, while we can celebrate a decrease of 25% reduction in the use of force, the primary cause of use of force is deputies assisting patients or assisting staff with patient restraints. again, it just further supports

the need for b.e.r.t. staff to deescalate the situation compared to law enforcement officers. under the new plan, there will be a b.e.r.t. and sheriff's department deescalation protocol. coming from a preventative approach, we actually would expect there to be a reduction in law enforcement use of force against patients. one of the things that the b.e.r.t. staff was doing is actually conduct grounding to be able to assess the requirement or development of providing support to staff or to patient to deescalate, again, at that early stage. and at the next level, if there's a need for assistance from these health care ambassadors or the cadets, they will also assist at that early

stage or independent start when they show signs of anxiety, and part of that will be to provide stand by services, keeping the individual in sight, which will be the next level. and only when there's a situation that escalates to the point of danger to self or others will they then radio for the assistance of sheriff's deputies. we actually have a more appropriate and compliant with state regulators' approach to dealing with patients going through the stress behavior and be able to address that again at that early stage, which is key to preventing these issues from happening altogether so we don't get involved in using law enforcement to restrain and use of force against patients. so with that, i'm going to turn it over to joan torres, who's

going to speak further regarding the b.e.r.t. program and its training. turn it over to you, joan. >> thank you, director price. my name is joan torres, and i'm the director of the emergency management response program. i'll present b.e.r.t. support and the comprehensive b.e.r.t. training program for new hires. this current slide depicts the volume of b.e.r.t. calls and activations over the six month period of july 2021 to december 2021. over this time period, we had a total of 90 b.e.r.t. calls and activations. over the six months, we had a total of 205 b.e.r.t. rounding

consultations, and rounding consultations is one of the major prevention for interventions. the goal of rounding consultations is to support the primary team early to prevent future rounding consultations and escalations in the future. calls are expected to increase by 86%, and this was projected by data track collected by administrators on duty or a.o.d. and others during a two-month observation period. [indiscernible] next slide, please. over the same six-month period of joule 2021 to december 2021,

96% of b.e.r.t. interventions for emergent b.e.r.t. activations calls were considered successful, including [indiscernible] of behavioral health emergency, show of support for staff, verbal redirection of patients and visitors, safety planning during and after behavioral health emergency. of the 90 emerging calls, 60 calls were completed without law enforcement present or intervention. next slide, please. b.e.r.t. protocol and access. there are three major ways to access b.e.r.t. first is a b.e.r.t. activation by paging the visitor's or patient's location for immediate response. second, is a b.e.r.t. call

where a b.e.r.t. officer does not have to be present at the location. the diagram on the left shows current process and steps during emergent b.e.r.t. activation. if a patient or visitor is undergoing a mental health crisis, they attempt to safely deescalation the situation. during the b.e.r.t. activation, they gather data and implements immediate interventions, and lastly, they debrief with the

primary team and patient if applicable. b.e.r.t. training program. all members will undergo a vigorous training to support leaders in the field of behavioral health and psychiatry regardless of current experience or background in the field. so this means that all [indiscernible] focus on behavioral health and psychiatry [indiscernible] as well as all the l.p.n.s that are joining b.e.r.t. [indiscernible] the comprehensive training program includes methods such as [indiscernible] construction, group discussion, skills labs, case study and simulations, competency based simulations, on-line modules, etc. in the first month, members

complete psychiatry special training, and this includes c.p.i. training and specialty training and organization to the psychiatry units at zsfg. presentation topics include risk management, addiction care and child protective services, while our training topics covered in two months include but are not limited to, motivational interviewing, trauma informs care and recovery language, transgender 101 education, psychiatric pharmacology, adolescent care, and behavioral competency. months four and five are dedicated to the completion and dedication of completed

competencies. now i'd like to pass along the presentation to carrie johnson. thank you. >> hello. thank you, joan, and thank you, basil. all psychiatric nurses have been selected and l.v.n.s have been selected by the managers, and we are starting on board those this week, and five of the 25 psychiatric techs in the process of on boarding. we are targeting october 22 for -- february 22 for the

requirements in place, and if so, they would be starting in the next class. all of these selections are going through an expedited hiring process. it's a difficult candidate pool. we don't have a lot of candidates, but as soon as we get a candidate defined, we are hiring them direct hire, and we are sending the applications directly to joan for her review and selection. and lastly, if we're unable to fill all the vacant positions via the 2305 classifications, the leadership team is going to consider modifying more l.v.n.s because that pool is more robust. thank you. >> thank you, commission. that concludes the presentation, and we're happy to take any questions. >> thank you so much for this

incredible presentation, and so much has gone into what i'm sure will be a very successful program, and i look forward to more information as time goes on. it's a great presentation that you presented to us on use of force. is there any public comment on this item? >> clerk: folks on the line, if you'd like to make comment on item 8, d.p.h. safety services staffing plan, press star, three. again, star, three. no hands raised, commissioners. >> are there any commissioner questions or comments? >> i just have some comments, and this is really a very nice progress report. first, on the zuckerberg plan to bring on board, you just

showed us the hiring on this, so you really think may will be feasible. when i just heard the presentation, i thought it might be too short, but it sounds like d.p.h. and everybody -- is that correct, you would think there would be a full b.e.r.t. operation by may? >> i would say based on what i'm hearing from terry, that that sounds promising, however, we, also in addition to the hiring piece, there's the training program spoke of, too, so a lot of time will be spent going through those several months of training before they're actually out there, providing the actual work, so we still want to keep it as the

may to june schedule. >> my -- no, thank you, and i'm glad to hear, and actually, the h.r. report was very encouraging. when you first presented it, i was thinking, again, like commissioner green was talking about, the shortages and the challenges, so i really compliment h.r. and all of you for looking like you're able to find them. i guess my second question was actually more clarification. i wasn't quite sure. i thought i read in the budget, under laguna honda, that we were replacing cadets with noncadet personnel, and here, the plan appears to be hiring additional cadets. so i'm probably mistaken, but maybe you can clarify for me. maybe we're having a mix of cadets and noncadets at laguna?

>> thank you, commissioner, and no, you're not mistaken. the update was based on the original proposal back in may. back in may, the original intention was to increase the cadets by that 8.2. since that time, the sheriff's office has pushed back, if you will, to use cadets to provide clinical searches at had a gun ahonda, which is one of those reasons that we wanted to -- laguna honda. the plan is to actually reduce those cadets and add health care workers to actually do the screening and searches -- clinical searches there at laguna honda. >> thank you very much for the clarification. >> sure. >> i appreciate it, and it's

one of the things, that in spite of the stresses of covid and the staffing, that we're moving such a, i think with great speed, such a security plan. >> thank you. >> thank you so much. any other commissioner questions or comments? thank you for this amazing work, and i guess we'll go to the next agenda item, which is the resolution making findings to allow teleconference meetings under california government code section 54953-e. >> clerk: commissioners, this is the same motion that you passed since, i believe, october of last year, to require you to be able to conduct remote meetings. >> so moved. >> yeah, and second. any public comment? >> clerk: folks on the line, if you'd like to make public

comment on item 9, please press star, three. star, three. all right. no comments, commissioners. i will do a roll call vote. [roll call] >> clerk: great. the resolution passes. thank you. >> all right. is there any other business? >> clerk: i'll check public comment real quickly. folks, if you'd like to make public comment on other business, item 12, press star, three. star, three. no hands, commissioners. >> great. we'll go to the joint conference committee and other committee reports from the january 26 zuckerberg san francisco general public meeting >> thank you. that's, i guess, my turn again. [indiscernible]. >> at the january 25 meeting,

the committee heard a very robust covid update as part of the c.b.o. report, and i think i alluded a little bit to it where we had some concern about the question of bringing on staff earlier within a shorter period of time, and it was clarified to put into the minutes that, in fact, they are actually being super cautious in doing a test prior to staffing coming on even though it's within a shorter period of time. and along with that, we were actually very impressed with the breadth of the activities that were being completed on the other work of the hospital in spite of that, and that with the shortages, and i think there were several hundred

staff that were close to -- 300 staff that were actually on sick leave or away during much of this surge, and so it's remarkable that they not only were able to keep up and add to their census, as they had, but that they also continued the regular activities of the hospital, including the quality reports and going through a number of regulatory surveys. the committee then approved the surgery rules and regulations and anesthesia standardized procedures. we heard the challenges of surgery, especially with the interim chiefs that they have had, that they are currently in the process of doing a search, and that the interim chief is really doing a great job of

getting his department to even higher heights in services that they perform. in closed session, we then approved [indiscernible] report and [indiscernible] report. the phipps report required the participation of nearly 60% of the people all the time, so it's very large group of administrative and medical staff, and that's really impressive to bring so many together in terms of the phipps program for patient improvement and performance, so that ends my report, and i'd be happy to answer any questions.

commissioner green was also present, and maybe she wanted to add something because it was really a very robust meeting. >> you do a lot of great work at general, and your leadership is fantastic, and i hope they hear us, our appreciation for all the work that they do. public comment. >> clerk: public comment on item 12, zsfg meeting. >> commissioner giraudo, i see your hand. >> i had to switch to an ipad. i just wanted to bring up another item. the zuckerberg san francisco

general hospital foundation fundraiser is on february 10. it's obviously a fundraiser -- it's virtual, so i encourage all of you to go on-line and register, it's a one-hour program, and to support the hospital. >> thank you so much. do you happen to know what time it is they're doing it? >> 6:00. >> 6:00? very good. >> maybe secretary morowitz can send us a link, as well. >> clerk: will do tomorrow, commissioners. >> and we can send it to others. >> thank you very much. so i think it's time for a motion to adjourn, am i right? >> clerk: you are. >> all right. is there a motion to adjourn? >> i so move to adjourn the meeting. >> and i'll second. >> clerk: i'll do a roll call vote. [roll call]

>> clerk: thank you, commissioner green, for chairing tonight. >> my pleasure. thank you so much for being so supportive. >> i am so happy.

african-americans in the military from the revolutionary war to the present, even though they have not had the basic civil rights in america. they don't know their history. in the military the most sacrifice as anyone in this country to be willing to lay down your blood and fight. i believe that all african-americans have served because they love this country and the hope that the citizens.

all right. hello everyone. thank you so much for joining me. i'm san francisco mayor london breed and i'm joined today with our police chief bill scott to talk about the crime statistics in san francisco. and i just want to back up and put things into perspective. first of all, it's been a challenging year. we say that over and over again, but we also understand the challenges everyone is living with whether it's people who've lost their jobs and homes. kids that who aren't in school. those that struggle with mental health challenges and a number of other issues. sadly, in san francisco, we have seen certain crime

statistics increase, but we've seen others decrease. and the chief will get into those more specifically. now, despite dealing with this pandemic and seeing a number of people especially with the omicron variant out sick, we've seen that happen not just with people in san francisco, but many of our city workers including those from our police and fire department. the public safety arm of san francisco. and i just want to take this opportunity to really thank our police officers, many of them have had to do overtime because we've had hundreds of officers out as a result of omicron and others have had to step up to take their place. we know that there are a number of challenges that we see and we know that people are anxious to see improvements in the tenderloin community with the emergency declaration, but the fact is we have a number of employees that are out. others have stepped up to take

their place and we want to ensure that not only are we doing what we need to do in the tenderloin community to keep that community safe, we also need to make sure that we're keeping everyone in the entire city safe. we know that that is such a priority for so many san franciscans. and as a leader of this city, it is a priority for me. nothing is more important than to make sure that people who live in this city, people who work in this city, people who visit san francisco feel safe as they walk down the streets. and the fact is that does require police officers. it does require folks who are part of our public safety network. it does require us working together. and to be clear, it does not mean that we ignore the reforms that we need to do here in san francisco with our police department. it does not mean that we ignore all the work we're doing to provide an alternative response to policing.

those things go hand in hand with also keeping people safe so that they don't become victims of violent crime. so i want at this time to really just talk about what has been our plan moving forward. our plan moving forward, of course, is definitely contingent upon us providing those various services with our street crisis response team, our ambassadors, our escorts for our seniors. so many great programs in san francisco with a lot of nonprofit agencies that are working hand in hand with us to deliver for san franciscos who are most impacted by crime. yesterday, i was in chinatown, we were talking about the statistics and the hate crimes that have increased by 567% in the a.p.i. community specifically and our need to enhance our support is what we're doing because that is

critically important to the safety of that community and to making sure that people understand that we don't tolerate this and we will do everything we can to make sure that justice is served for the victims of these violent attacks. and part of that is making sure that we have a robust police department. a department that has officers who can not only walk the beat, but those that can investigate crime. those that can deal with a number of the challenges and victim services and support all the things that we need in order to make sure that not only are people kept safe and we prevent those crimes from happening in the first place, but once they happen that there is a process to bring those who commit those violent acts to hold them accountable. and that's what this is all about. the department over the past couple of years since 2019 has seen a reduction in the number of police officers by about 20%. and so where our operating with

the staffing that we have and meeting the needs all over san francisco, but we clearly need more. just recently, we received a letter from the controller's office of san francisco that says if we don't move forward with the supplemental that i introduced for $22.5 million to help with the cost associated with the police and fire department, services will be impacted because they won't be able to allow us to spend above our means. so what does that mean? that means that the controller's office will come in and make certain decisions for us. that means that the police academy classes which are already struggling with recruitment for our police department won't happen. that means no more back filling of officers. no more getting police officers on the streets in the numbers that we need in order to ensure safety. that's what it means. it means our fire department

will be affected. $7.9 million for the police. $14.6 million i believe for the fire department to address what we know is again the overtime related to the additional services needed from people being out sick and also the shortage in staffing of people who have retired or left the department for various reasons. this is not asking for more. this is asking for the basics, what everyone expects in the city as it relates to public safety. that's what this is about and i'm hoping that the member officer the board of supervisors see it that way. this is about what people expect. when there's a shooting in the bayview hunter's point community which has occurred on far too many occasions, the

expectation is that the police will show up. when there's a stabbing or a shooting or assault in the tenderloin community, that community expects that the police will show up and they will get justice. when there is crime of any occurrence, whether it's a burglary when someone is breaking into someone's home while they're there. can you imagine experiencing that and not having the police show up right away when you call 911. that should never happen in a major city like san francisco. there should be an expectation if something happens and you're in need of medical treatment, the paramedics will come. when you're in need of support from law enforcement because you've been assaulted or robbed or anything has occurred, the police should be expected to show up. so this additional resource we need is about maintaining that level of service and we know we need more, but in the meantime, as our city has really suffered during this pandemic, not just

the challenges of mental illness and addiction and homelessness and all of the things that we continue to address, but crime. and crime has to be addressed in a number of ways. there is not a one-size-fits-all, but there is a real need to make sure that we don't completely deplete our police department and then still expect justice and service and support when sadly we become the victim. we can do better and my hope is that we will do better. my hope is that the board will approve this supplemental and the police department will be able to continue the great work that they have done for san francisco especially during this pandemic. so, with that, i'd like to introduce our police chief bill scott to talk specifically about the statistics from last

year. >> police chief scott: thank you, mayor breed. and good morning everybody. we're going to have graphics on the screen so you can follow along. and before i start with the statistics, let me start and put this into context. statistics are what's reported to us. and we all understand that sometimes what translates on the statistics may not be your experience. aside from homicide, i think traditionally in policing, crimes go unreported. homicide is probably the purest statistic we have because it's really hard not to have a homicide reported or murder reported. short of everything else, we know there are crimes that we don't get because they're not reported from shootings to reports, to burglaries, you name it. some crimes don't get reported and i want to put that into some context because when we talk about our statistics,

we're talking about what's reported to us and we understand that for some people, that may not be their experience. that might not be what they're seeing. the victim may not have reported it or things in particular from their world view might not be consistent with what we put up. this is merely what we report and i think it's important that we understand and put into context what statistics are. as mayor breed said, we know there's a lot of work that we need to do. we also know that there is a lot of good work that's been done. so we're going to talk about both. we're going to talk about the challenges and we're going to talk about the things where we've seen some progress and some improvement. and being that i led off talking about homicide are the purist statistic that we have. i'm going to start off with our homicide and each one of these graphs that you see are, you'll see the last several years of statistics. so you can put into context

what the trends are. violent crimes will start here and we'll put into context what the trends are over time because it paints a clearer picture when you look at crime statistics over a period of time. we have 56 homicide this past year in 2021. and when you look at this graph, this graphic, the last time we had homicides was 2017. we saw a decline for three years and then starting in 2019, we started to see an increase in homicides, and sadly, this is not just a san francisco trend, this is a national trend and this is something that is truly concerning to all of us. many of our investigations have led us to facts that indicate that many of our cases are connected with some of the surroundings cities in the bay area and so we've been doing a lot of work with those jurisdictions and those police departments both on the law enforcement side and on the social services side to try to

turn this trend around. 56 homicides for san francisco is a big deal and it's something we're committed to turning around and before i end my discussion, i'm going to talk a little bit about some of the strategies that we've put in place to do just that. i also want to say that in our effort to bring these cases to resolution, we solved our clearance rate for homicides this past year was 77%. so almost eight and ten of our cases we solved and that's been consistent over the last several years and that rate is really far above the state average and the national average and so that's something we're pleased with. not to say we can't do better. we want to solve every case, but sadly for the families and the victims, we don't solve every case, but we'll definitely work as hard as we can to do just that.

those cases can be solved and those investigators can't do the work if we don't have what's in place. we have to have the staffing to do that. we also have to have community support and there are too many people to thank in terms of many members in our community. but we'll keep pushing forward and we want to turn that 56 to a much lower number. a couple years ago, i think it was the mayor's first year in office or second year in office, we were at 41 homicides for the year. that is as low as we've been since the early 1960s. we want to do better than that. gun violence contributed to the majority of our homicides and the next graphic, you'll see our gun violence victims for 2021. there were a total of 222. that's the highest we've been since 2016. and you look at the friends. it really follows the homicide trends where you see a